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OncoMatch/Clinical Trials/NCT06102902

Testing the Addition of Anti-cancer Drug, ZEN003694, to the Usual Chemotherapy Treatment, Cetuximab Plus Encorafenib, for Colorectal Cancer

Is NCT06102902 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including Cetuximab and BET Bromodomain Inhibitor ZEN-3694 for metastatic colorectal adenocarcinoma.

Phase 1RecruitingNational Cancer Institute (NCI)NCT06102902Data as of May 2026

Treatment: BET Bromodomain Inhibitor ZEN-3694 · Cetuximab · EncorafenibThis phase I trial tests the safety, best dose, and effectiveness of ZEN003694 in combination with cetuximab and encorafenib in treating patients with colorectal cancer that has not responded to previous treatment (refractory), that has come back after a period of improvement (relapsed), and that has spread from where it first started (primary site) to other places in the body (metastatic). ZEN003694 is a protein inhibitor that binds to BET proteins. When ZEN003694 binds to BET proteins, it disrupts gene expression. Preventing the expression of certain growth-promoting genes may inhibit proliferation of tumor cells that over-express BET proteins. Immunotherapy with monoclonal antibodies, such as cetuximab, may help the body's immune system attack the tumor, and may interfere with the ability of tumor cells to grow and spread. Encorafenib is an enzyme inhibitor. It inhibits pathways that are responsible for controlling cell proliferation and survival, which may lead to a decrease in tumor cell proliferation. Both cetuximab and encorafenib have been approved to treat cancer. Adding ZEN003694 to cetuximab and encorafenib may be more effective at treating patients with refractory metastatic colorectal cancer than giving the usual treatment (cetuximab and encorafenib) alone.

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Extracted eligibility criteria

Cancer type

Colorectal Cancer

Biomarker criteria

Required: BRAF v600e

Disease stage

Required: Stage IV

Metastatic disease required

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Min 1 prior line

Must have received: systemic treatment — incurable advanced or metastatic disease

Patients must have progressed after at least 1 prior systemic treatment for incurable advanced or metastatic disease

Must have received: combination of encorafenib and cetuximab (encorafenib, cetuximab)

Patients must have received prior treatment with the combination of encorafenib and cetuximab. They must have tolerated the combination at doses planned for the study

Lab requirements

Blood counts

Absolute neutrophil count ≥ 1,500/mcL; Platelets ≥ 100,000/mcL; Hemoglobin (Hb) ≥ 9 mg/dl

Kidney function

Creatinine clearance (CrCL) glomerular filtration rate (GFR) ≥ 50 mL/min/1.73 m^2

Liver function

Total bilirubin ≤ 1.5 mg/dl (excluding Gilbert's disease); AST/ALT ≤ 3 x institutional ULN

Cardiac function

Patients with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. Patients should be New York Heart Association Functional Classification of class II or better

Absolute neutrophil count ≥ 1,500/mcL; Platelets ≥ 100,000/mcL; Hemoglobin (Hb) ≥ 9 mg/dl; Total bilirubin ≤ 1.5 mg/dl (excluding Gilbert's disease); AST/ALT ≤ 3 x institutional ULN; Creatinine clearance (CrCL) glomerular filtration rate (GFR) ≥ 50 mL/min/1.73 m^2; cardiac risk assessment using NYHA Functional Classification class II or better

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care · Irvine, California
  • Los Angeles General Medical Center · Los Angeles, California
  • USC / Norris Comprehensive Cancer Center · Los Angeles, California
  • UC Irvine Health/Chao Family Comprehensive Cancer Center · Orange, California
  • UCHealth University of Colorado Hospital · Aurora, Colorado

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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